AimInvestigating the association between sugar‐sweetened beverages (SSBs) and periodontitis and whether the awareness of diabetes modifies this relationship.Materials and MethodsCross‐sectional analysis was conducted using the National Health and Nutrition Examination Survey (NHANES III) data involving US adults aged 30–50. Periodontitis was classified according to the Centers for Disease Control and Prevention and American Academy of Periodontology (CDC‐AAP), and SSB consumption as dichotomous (<5 or ≥5, <7 or ≥7 and <14 or ≥14 times/week), ordinal and continuous variables. Confounders included family income poverty ratio, education, race/ethnicity, sex, age, food energy intake, smoking and alcohol. Odds ratios (ORs) were obtained by logistic regressions using inverse probability weighting. Effect modification analysis was performed considering self‐reported diabetes.ResultsAmong 4473 cases analysed, 198 self‐reported diabetes. SSBs were associated with periodontitis when individuals consumed ≥5 (OR 1.64; 95% confidence interval [CI] = 1.30–2.06), ≥7 (OR 1.92; 95% CI = 1.50–2.46) and ≥14 (OR 2.19; 95% CI = 1.50–3.18) times/week. The combined effect of consuming SSBs (≥5 and ≥14 times/week) and self‐reported diabetes had less impact than the cumulative effect.ConclusionsSSB consumption was associated with higher odds of periodontitis, and the estimates were reduced among those with awareness of diabetes.

中文翻译：

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成人含糖饮料消费与牙周炎：一项基于人群的横断面研究

目的调查含糖饮料 (SSB) 与牙周炎之间的关联，以及对糖尿病的认识是否会改变这种关系。材料和方法使用国家健康和营养检查调查 (NHANES III) 数据进行横断面分析，数据涉及美国 30 岁至50. 牙周炎根据疾病控制与预防中心和美国牙周病学会 (CDC-AAP) 进行分类，SSB 消耗量分为二分法（每周 <5 或 ≥5、<7 或 ≥7 次和 <14 或 ≥14 次/周） 、序数变量和连续变量。混杂因素包括家庭收入贫困率、教育程度、种族/民族、性别、年龄、食物能量摄入、吸烟和饮酒。使用逆概率加权通过逻辑回归获得优势比 (OR)。考虑自我报告的糖尿病进行效果修正分析。结果在分析的 4473 例病例中，有 198 例自我报告的糖尿病。当个体摄入量≥5（OR 1.64；95%置信区间[CI] = 1.30–2.06）、≥7（OR 1.92；95% CI = 1.50–2.46）和≥14（OR 2.19；95%）时，SSB与牙周炎相关。 CI = 1.50–3.18) 次/周。食用SSB（每周≥5次和≥14次）和自我报告糖尿病的综合效应比累积效应的影响要小。结论食用SSB与较高的牙周炎发病率相关，并且在了解糖尿病的人中，估计值降低。